NHS England said each appointment cost an average of £30 and the overall expense of patients not cancelling appointments could pay for the annual salary of 2,325 full-time GPs.

BBC Reality Check: How did they calculate the cost?

If you have a booked GP appointment in England, when the time rolls around your surgery will mark it as either “attended” or “did not attend” in their records.

The figures we have tell us how many booked appointments were not attended by the person who booked them. What it doesn’t tell us is whether this time was actually wasted.

GP surgeries can overbook to allow for the fact that some people will not attend. And they may also leave some flexibility for people showing up on the day without a pre-booked appointment.

At the moment, it’s not possible to tell how many of these missed appointments resulted in a GP being unoccupied for that slot and how many were taken up instead by a different patient.

Patients missing appointments can certainly cause a headache for surgeries and the Royal College of GPs says it slows down the system.

But the notional cost – calculated by multiplying the £30 average cost of an appointment by how many were missed – doesn’t necessarily represent the true cost to the NHS.

‘Every appointment precious’

Dr Nikki Kanani, acting director of primary care for NHS England, and a GP in south-east London, pointed out that £216m could also fund about 58,000 hip operations or 220,000 cataract operations.

She told the BBC: “When a patient misses an appointment, my first instinct is to worry. I worry why that person has missed that appointment but then I can’t use that time for somebody else.

“So I’ll check up on the patient but I’m not able to get anyone else in.”

Dr Kanai said it was becoming increasingly easy to manage appointments through the online access offered by many surgeries. adding: “Our message is clear. If you cannot make it to your appointment or no longer need a consultation, please let your GP practice know in advance.”

Prof Helen Stokes-Lampard, chairwoman of the Royal College of GPs, said: “There may be many reasons why a patient might miss an appointment, and in some cases it can be an indication that something serious is going on for that individual – but we would urge patients to let us know if they can’t attend as soon as possible.”

Dr Richard Vautrey, the BMA’s GP committee chairman, said: “Every appointment at a GP practice is precious, especially at a time when GP services are struggling to cope with rising patient demand, staff shortages and inadequate budgets.

“Practices will try many ways to address this problem, but ultimately patients do need to play their part.”